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While chewing tobacco avoids pulmonary smoke exposure entirely, the raw fire-cured leaves still deliver a massive dose of tobacco-specific nitrosamines directly to your gums, increasing the risk of severe tooth discoloration, gum recession, and systemic health costs

Thank you so much, Dr

While we certainly do not advocate smoking as a means of reducing the risk of gout, further studies are needed to verify this finding and elucidate the suppressive effects of nicotine on the pathophysiology of gout.
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